Pelvic ring reconstruction with a double-barreled free vascularized fibula graft after resection of malignant pelvic bone tumor

Archives of Orthopaedic and Trauma Surgery
Koichi OguraAkira Kawai

Abstract

In patients undergoing limb-salvage internal hemipelvectomy, pelvic ring reconstruction is mandatory to maintain the stability of the pelvis and the spinal column, which finally expected to achieve a good functional outcome. However, no optimal reconstruction method has been established. In addition, no previous reports have highlighted the long-term complications of pelvic ring reconstruction after internal hemipelvectomy. We aimed to analyze the outcome of pelvic ring reconstruction using a double-barreled free vascularized fibula graft (VFG) after internal hemipelvectomy with special reference to long-term complications. We conducted a retrospective review of 9 consecutive patients (5 male, 4 female; mean age 31 years) who underwent pelvic ring reconstruction using a double-barreled free VFG after internal hemipelvectomy (P1, n = 4; P1 + 4, n = 3; P1 + 2, n = 2) at our institution between 1998 and 2013. The mean follow-up period was 55 months (range 3-131 months). The mean length of the bone defect was 9 cm. The methods of fixation included a Cotrel-Dubosset rod (n = 4), screw (n = 3), and screw and plate (n = 2). Bone union was achieved in 5 of 8 patients (63 %) over a 1-year follow-up. The mean period required for bone uni...Continue Reading

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Citations

Mar 29, 2019·Plastic and Reconstructive Surgery·Oriana Cohen, Adam Jacobson
Apr 8, 2017·The Bone & Joint Journal·M K LaitinenR J Grimer
Jan 6, 2021·Skeletal Radiology·Shivani AhlawatLaura M Fayad
Sep 4, 2021·Journal of Children's Orthopaedics·Ilkka J Helenius, Andreas H Krieg
Sep 10, 2021·Microsurgery·Stefano BastoniGiulio Menichini

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